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Under the National Tuberculosis Elimination Program (NTEP) network, the most peripheral laboratories are the Designated Microscopy Centres (DMC) which serve a population of around 100,000 each (50,000 population norm in tribal and hilly areas).
The basic requirements for microscopy centres include (Figure):
- Good ventilation by exhaust fan and open windows
- A table/ work bench to prepare smears
- A sink to stain smears
- A table/ bench to examine smears
- A table/ bench for documentation
- Basin for hand washing with supply of water
- Good lighting
- Non-slip flooring
- Sample receiving area
Figure: Ideal Infrastructure required for Microscopy Centres
| ESTABLISHMENT | PROVISIONS UNDER NTEP FOR DMC FACILITIES |
|---|---|
| Infrastructure development | Normative amount as per “Norms and basis of costing” for NTEP. Unit cost for initial establishment/ refurbishment/ upgradation/ maintenance of civil work to be carried out as per rates prescribed by Public Works Department (PWD) or cell/ division/ corporation/ wing for infrastructure development |
| Human resources | NTEP trained Lab Technician (LT) |
| Diagnosis |
|
| Equipment | Binocular microscope with a light source |
| Location of DMC | Ideally, the DMC should be located in a peripheral health facility that has at least 50 new adult OPD/day. |
Resources
- Technical and Operational Guidelines for TB Control in India, 2016.
- Laboratory Diagnosis of Tuberculosis by Sputum Microscopy, GLI Initiative.
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